Fentanyl and Propofol Versus Fentanyl and Etomidate for the Insertion Conditions of Laryngeal Mask Airway: A Prospective Observational Study

Background: Laryngeal mask airway (LMA) is often used in short surgeries for its easy insertion and minimal invasiveness but successful placement needs reflex suppression and stable vitals. This study compared Fentanyl-Propofol which gives better insertion but may cause hypotension with Fentanyl-Etomidate which maintains hemodynamics but causes more myoclonus. Material and Methods: 60 American Society of Anesthesiologists I-II patients aged 18-60 years were included in this prospective study. Group A got Fentanyl + Propofol. Group B got Fentanyl + Etomidate. We compared attempts, time, ease, vitals, and side effects. Results: Group A had better insertion, first attempt success 90% versus 60%, time 23.27s versus 80.63s, and ease 96.67% versus 66.67%. Group B showed more myoclonus (43.33%), jaw tightness, and limb movements. Hemodynamics gets better with etomidate. Conclusion: Fentanyl-Propofol is better for smooth LMA insertion. Etomidate useful in unstable patients but may need caution due to insertion issues.